Christopher Hennessey (NPI# 1336273507, PAC ID# 2769371061) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1336273507 |
| PAC ID by PECOS | 2769371061 |
| Professional Enrollment ID | I20040315000060 |
| Full Name | Christopher Hennessey |
| Organization Legal Name | EVAN D. O'BRIEN, M.D., P.C |
| Address |
1225 N Broad St Suite 3 West Deptford NJ 08096-1203 |
| Phone Number | 8568450707 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2002 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9133296601 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310081 | INSPIRA MEDICAL CENTER WOODBURY |
| Address | Phone | Organization |
|---|---|---|
| 1225 N Broad St, Suite 3, West Deptford, NJ 08096-1203 | 8568450707 | EVAN D. O'BRIEN, M.D., P.C |
| Organization Legal Name | EVAN D. O'BRIEN, M.D., P.C |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas M Kaffl | Physician Assistant | Evan D. O'brien, M.d., P.c | 1225 N Broad St, Suite 3, West Deptford, NJ 08096-1203 |
| Evan D O'brien | Orthopedic Surgery | Evan D. O'brien, M.d., P.c | 1225 N Broad St, Suite 3, West Deptford, NJ 08096-1203 |
| Street Address |
1225 N BROAD ST SUITE 3 |
| City | WEST DEPTFORD |
| State | NJ |
| Zip | 08096-1203 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas M Kaffl | Physician Assistant | Evan D. O'brien, M.d., P.c | 1225 N Broad St, Suite 3, West Deptford, NJ 08096-1203 |
| Evan D O'brien | Orthopedic Surgery | Evan D. O'brien, M.d., P.c | 1225 N Broad St, Suite 3, West Deptford, NJ 08096-1203 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly Burgess | Registered Dietitian Or Nutrition Professional | Sherwood Mews, Suite 831, West Deptford, NJ 08096 | |
| Colin Lloyd Smith | Gastroenterology | Dimarino Kroop Prieto Gastrointestinal Associates Pa | 26 E Red Bank Ave, Woodbury, NJ 08096-1611 |
| Charles Andrew Kistler | Gastroenterology | Dimarino Kroop Prieto Gastrointestinal Associates Pa | 26 E Red Bank Ave, Woodbury, NJ 08096-1611 |
| Nicholas T Orfanidis | Gastroenterology | Dimarino Kroop Prieto Gastrointestinal Associates Pa | 26 E Red Bank Ave, Woodbury, NJ 08096-1611 |
| Andrew Richard Dargan | Internal Medicine | Dimarino Kroop Prieto Gastrointestinal Associates Pa | 26 E Red Bank Ave, Woodbury, NJ 08096-1611 |
| Aarati B Malliah | Gastroenterology | Dimarino Kroop Prieto Gastrointestinal Associates Pa | 26 E Red Bank Ave, Woodbury, NJ 08096-1611 |
| Lisa R Rahaim | Nurse Practitioner | Dimarino Kroop Prieto Gastrointestinal Associates Pa | 26 E Red Bank Ave, Woodbury, NJ 08096-1611 |
| Antonino Insana | Emergency Medicine | Emergency Care Services of New Jersey Pa | 509 N Broad St, Woodbury, NJ 08096-1617 |
| Afaf Anter | Hospitalist | Cooper Physician Offices Pa | 509 N Broad St, Woodbury, NJ 08096-1617 |
| Mark A Thomas | Hospitalist | Cooper Physician Offices Pa | 509 N Broad St, Woodbury, NJ 08096-1617 |
| Find all physicians in zip 08096 | |||
| City | WEST DEPTFORD |
| Zip Code | 08096 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WEST DEPTFORD + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.